# STK DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASTLINE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518838473
- **Authorized official:** DR. SIDDIQ TARIQ KARIM DDS (DENTIST/PROSTHODONTIST)
- **Authorized official phone:** (516) 820-1228

## Contact information

- **Practice address:** 1101 STEWART AVE STE 103, GARDEN CITY, NY 11530-4808
- **Practice address phone:** (516) 820-1228
- **Mailing address:** 1101 STEWART AVE STE 103, GARDEN CITY, NY 11530-4808
- **Mailing address phone:** (516) 820-1228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025